Individual
DR. LANCE FAY HASELTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24521 POQUETTE LAKE RD, SHELL LAKE, WI 54871-9240
(612) 991-4889
(715) 569-8698
Mailing address
24521 POQUETTE LAKE RD, SHELL LAKE, WI 54871-9240
(612) 991-4889
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
33541
MN
208D00000X
General Practice Physician
Primary
35039-20
WI
Other
Enumeration date
01/22/2011
Last updated
03/04/2025
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